ZACH LACROSS

CARBONDALE, IL
NPI1013315092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003415)
Enumeration Date2014-12-08
Last Update Date2014-12-08
Business Address
-- ZACH LACROSS ATC
1490 DOUGLAS DR LINGLE HALL 118, MC 6620
CARBONDALE, IL 62901-4332
Phone number: 618-453-4163
Mailing Address
-- ZACH LACROSS ATC
1490 DOUGLAS DR LINGLE HALL 118, MC 6620
CARBONDALE, IL 62901-4332
Phone number: 618-453-4163
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